The Australian Transport Safety Bureau (ATSB) is Australia's national transport safety investigator. The ATSB's function is to improve safety and public confidence in the aviation, marine and rail modes of transport. The ATSB is Australia's prime agency for the independent investigation of civil aviation, rail and maritime accidents, incidents and safety deficiencies.

Marine safety issues and actions

Recommendation

Output text

Safety Issue

The ship's procedures for re-entry into the engine room after
the operation of the FM-200 fire extinguishing system did not
adequately consider the time required to cool the fire scene and
did not provide the master with adequate guidance about when to
safely re-enter the engine room, therefore, exposing the ship to
the potential risk of re-ignition.

The practice of re-opening the fuel service tank quick closing
valve after the fire, without first isolating individual fuel
circuits, exposed the ship to the risk of another fuel leak and
possible re-ignition.